AR Specialist-RCM

Company Description

Ambit Global Solution LLP is a leading provider of medical and dental billing and revenue cycle management services. The company offers comprehensive solutions to healthcare organizations, including hospitals, dental groups, and private practices, aiming to maximize revenue and reduce operating costs. With a team of dedicated professionals, including AAPC-certified coders, Ambit leverages cutting-edge technology and a client-centric approach to deliver efficient and transparent services across various specialties.

Job Title:

Location:

Experience Required:

Work Hours:

Job Summary:

AR Specialist

Key Responsibilities:

• Follow up on unpaid or underpaid insurance claims via calls, emails, and payer portals
• Analyze and resolve denials, rejections, and short payments
• Take timely action to resubmit, appeal, or escalate claims
• Accurately document all activities and follow-up actions in the billing system
• Collaborate with billing, coding, and other RCM team members to ensure claim accuracy
• Stay up to date with payer guidelines and insurance protocols
• Focus on reducing A/R days and improving cash flow, especially in surgical cases

Requirements:

• Minimum of 5 years of experience in insurance follow-up in medical billing/RCM
• Strong understanding of EOBs, denial codes, CPT/ICD codes, and insurance rules
• Experience with

  surgery-related claims

  is highly desirable
• Familiarity with commercial and government insurance payers
• Proficient in using EMR and billing platforms (e.g., Athena, Kareo, eClinicalWorks, AdvancedMD)
• Excellent communication and problem-solving skills
• Must be comfortable working

  night shifts aligned with US time zones (EST/PST/CST)

Preferred Qualifications:

• Knowledge of appeals, reconsiderations, and claim adjustment processes
• Experience in surgical specialties such as orthopedics, ENT, or general surgery
• Understanding of HIPAA and data security protocols